— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師為病人執行皮下注射 Enoxaparin。執行過程中哪項動作是正確的？
A nurse is administering a dose of subcutaneous enoxaparin to a client. Which action is appropriate during the administration?
- AAdminister the injection into the abdominal fat pad✓ 正解將注射劑注入腹部脂肪墊
- BExpel the air bubble from the pre-filled syringe排出預充式針筒內的氣泡
- CAspirate before injecting the medication注射藥物前進行抽吸
- DMassage the injection site after administration注射後按摩注射部位
— Explanation · 中文詳解 —
Enoxaparin 屬於低分子量肝素，注射時應於腹部脂肪層進行。為了維持劑量準確性，預填充針筒中的空氣泡（air bubble）設計為封住藥液，不應排出。此藥物不需要抽吸且嚴禁按摩注射點，以免造成皮下瘀血。
Enoxaparin is a low-molecular-weight heparin and is injected into the subcutaneous fat layer of the abdomen. To maintain dose accuracy, the air bubble in the prefilled syringe is designed to seal in the medication and should not be expelled. This medication does not require aspiration, and massaging the injection site is strictly prohibited to prevent subcutaneous bruising.
✦ 台美臨床差異
台灣臨床護理教育常強調不揉按，但部分醫院對於氣泡處理的 SOP 可能略有不同，應遵循原廠說明書。